NPI 1043636822 JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC JACKSONVILLE FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jacksonville Wellness Center & Preventive Medicine Clinic - NPI: 1043636822

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: JACKSONVILLE WELLNESS CENTER & PREVENTIVE MEDICINE CLINIC
NPI Number: 1043636822
Entity Type Code: Organizational (2)
Authorized Official Name: DIANA M CORDERO
(MEDICAL DOCTOR)
Mailing Address: 3604 University Blvd S
Jacksonville
State: FL US
Postal Code: 322164241
Phone Number: 9045635838
Fax Number: 9044257889
NPI Enumeration Date: 03/17/2014
NPI Last Update Date: 03/17/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207R00000X
License Number: ME57227
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Internal Medicine
Taxonomy Specialization:
Taxonomy Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


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